DR. KEITH ALLEN MONTGOMERY (NPI# 1942361142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942361142 |
| Entity Type | Individual |
| Full Name | DR. KEITH ALLEN MONTGOMERY |
| Credential | M.D. |
| Practice Address |
77 Nealy Ave Hampton VA 23665-2040 |
| Mailing Address |
216 N 32nd St Richmond VA 23223-7452 |
| Practice Telephone | 7577646840 |
| Mailing Telephone | 9372414165 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01061771A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790978617 | Keith Allen Montgomery Jr. | Registered Nurse | 11965 Cactus Rd, Adelanto, CA 92301-4906 | 2007-08-23 |
| 1538523196 | Keith Montgomery | Case Manager/Care Coordinator | 1718 Lindauer Rd, Forrest City, AR 72335-2523 | 2016-04-11 |
| Street Address |
77 NEALY AVE |
| City | HAMPTON |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091966 | Arthur J Greenwood | Obstetrics & Gynecology | 77 Nealy Ave, Hampton, VA 23665-2040 | 2005-08-24 |
| 1659979961 | Melissa Danielle Hanley | Nurse Practitioner | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-10-09 |
| 1821609488 | Julianne Legierse | Nurse Practitioner | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-08-16 |
| 1386252872 | Joseph John Mieding | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-07-21 |
| 1487270195 | Juan Rafael Rodriguez | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-06-18 |
| 1710510722 | Robert Dillon Huhn | Nurse Practitioner | 77 Nealy Ave, Emergency Department, Hampton, VA 23665-2040 | 2020-02-18 |
| 1497387401 | Duc Ha | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-02-07 |
| 1962034967 | Maria Theresa Leusink | Pharmacist | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-02-07 |
| 1316585755 | Victoria Marie Larwin | Family Medicine | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-12-17 |
| 1144781576 | Kyle David Long | Physician Assistant | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460413 | Demetrous Johnston | Psychiatry & Neurology | 2 Eaton St # 909, Hampton, VA 23669-4054 | 2020-09-07 |
| 1124447388 | Brian Pho Bui | Psychiatry & Neurology | Hampton Veterans Affairs 100 Emancipation Dr, Hampton, VA 23667 | 2014-04-15 |
| 1811217615 | Andrea Mechelle Brownridge | Psychiatry & Neurology | 14244 Woolsey Rd, Hampton, GA 30228-2251 | 2010-06-03 |
| 1912110495 | Ajay S Kuchibhatla | Psychiatry & Neurology | 400 Medical Dr Ste B, Hampton, VA 23666-1767 | 2007-05-08 |
| 1467465138 | Roopam Sood-khandpur | Psychiatry & Neurology | 2236 Todds Ln, Suite A, Hampton, VA 23666-3160 | 2006-08-14 |
| 1225066418 | Kenneth Joseph Miller | Psychiatry & Neurology | 32 Bay Front Pl, Hampton, VA 23664-1791 | 2006-06-28 |
| 1770550451 | Faisal Mohsin | Psychiatry & Neurology | 200 Medical Dr Ste B, Hampton, VA 23666-1763 | 2006-03-02 |
| 1235100900 | Ian Jonathan Chapel | Psychiatry & Neurology | 200 Medical Dr, Suite B, Hampton, VA 23666-1763 | 2006-01-30 |
| 1902884901 | Michael Jefferies | Psychiatry & Neurology | 112 Pine Creek Dr, Hampton, VA 23669-1244 | 2006-01-09 |
| 1659365989 | Shaista Ashai | Psychiatry & Neurology | 2244 Executive Dr, Hampton, VA 23666-2430 | 2005-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.